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Home My WebLink About1216 O Street Address: 1216 O Street —77] PREPARED 7/08/14, 8:24:31 INSPECTION TICKET PAGE 5 CITY OF PORT ANGELES INSPECTOR: JAMES LIERLY DATE 7/08/14 ------------------------------------------------------------------------------------------------- ADDRESS . : 1216 O ST SUBDIV: CONTRACTOR COZI HOMES CONSTRUCTION INC PHONE (360) 452-9906 OWNER GLENN W AND PAULA NORRIS PHONE PARCEL 06-30-01-7-9-0070-0000- APPL NUMBER: 14-00000744 RES REPAIR ------------------------------------------------------------------------------------------------ PERMIT: BPR 00 BUILDING PERMIT - RESIDENTIAL REQUESTED INSP DESCRIPTION TYP/SQ COMPLETED RESULT RESULTS/COMMENTS --—----------------------—---------—----------—---------—---------------— —- BL99 01 7/08/14 rl�LL BLDG FINAL July 8, 2014 8:19:06 AM pbarthol. t ken 460-0036 t -------------------- ------------ COMMENTS AND NOTES --- CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY&ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 IN, NA Application Number . . . . . 14-00000744 Date 6/24/14 Application pin number . . . 812128 Property Address . . . . . . 1216 O ST ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0070-0000- REPORT SALES TAX Application type description RES REPAIR Subdivision Name . . . . . . on your state excise tax form Property use to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 4978 (Location Code 0502) Application desc reapir damages wall ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GLENN W AND PAULA NORRIS COZI HOMES CONSTRUCTION INC 1216 SOUTH O ST 324 E 9TH ST ! PORT ANGELES WA 98363 PORT ANGELES WA 98362 -(360) 452-9906 A ----------------------------------------- ------------------------------ �1 Permit . . . . . . BUILDING PERMIT -RESIDENTIAL Additional desc . . REPAIR DAMAGED WALL Permit Fee . . . . 137.75 Plan Check Fee 89.54 Issue Date . . . . 6/24/14 Valuation . . . . 4978 Expiration Date . . 12/21/14 ��J Qty Unit Charge Per Extension BASE FEE 95.75 3.00 14.0000 THOU BL-2001-25K (14 PER K) 42.00 ---------------------------------------------------------------------------- Other Fees . . . . . . . . . STATE SURCHARGE 4.50 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 137.75 137.75 .00 .00 Plan Check Total 89.54 89.54 .00 .00 Other Fee Total 4.50 4.50 .00 .00 Grand Total 231.79 231.79 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS-- Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-481 T:Forms/Building Division/Building Permit CITY OF PORT ANGELES DEPARTMENT OF COMMUNITY& ECONOMIC DEVELOPMENT-BUILDING DIVISION 321 EAST 5TH STREET, PORT ANGELES,WA 98362 Application Number . . . . . 14-00000745 Date 6/24/14 Application pin number . . . 392685 Property Address . . . . . . .1216 O ST ASSESSOR PARCEL NUMBER: 06-30-01-7-9-0070-0000- REPORT SALES TAX Application type description PLUMBING PERMIT Subdivision Name . . . . . . on your state excise tax fonn Property use . . . . . . . . to the City of Port Angeles Property Zoning . . . . . . . RS9 RESDNTL SINGLE FAMILY Application valuation . . . . 0 Location Code 0502) Application desc replace W/H ---------------------------------------------------------------------------- Owner Contractor ------------------------ ------------------------ GLENN W AND PAULA NORRIS COZI HOMES CONSTRUCTION INC 1216 SOUTH O ST 324 E 9TH ST PORT ANGELES WA 98363 PORT ANGELES WA 98362 (360) 452-9906 ---------------------------------------------------------------------------- Permit . . . . . . PLUMBING PERMIT Additional desc REPALCE W/H Permit Fee . . . . 57.00 Plan Check Fee .00 Issue Date . . . . 6/24/14 Valuation . . . . 0 Expiration Date 12/21/14. Qty Unit Charge Per Extension BASE FEE 50.00 1.00 7.0000 EA PL-WATER HEATER 7.00 ---------------------------------------------------------------------------- Fee summary Charged Paid Credited Due ----------------- ---------- ---------- ---------- ---------- Permit Fee Total 57.00 57.00 .00 .00 Plan Check Total .00 .00 .00 .00 Grand Total 57.00 57.00 .00 .00 Separate Permits are required for electrical work,SEPA,Shoreline,ESA,utilities,private and public improvements. This permit becomes null and void if work or construction authorized is not commenced within 180 days,if construction or work is suspended or abandoned for a period of 180 days after the work has commenced, or if required inspections have not been requested within 180 days from the last inspection. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating construction or the performance of construction. _ Date Print Name Signature of Contractor or Authorized Agent Signature of Owner(if owner is builder) T:Forms/Building Division/Building Permit BUILDING PERMIT INSPECTION RECORD PLEASE PROVIDE A MINIMUM 24-HOUR NOTICE FOR INSPECTIONS— Building Inspections 417-4815 Electrical Inspections 417-4735 Public Works Utilities 417-4831 Backflow Prevention Inspections 417-4886 IT IS UNLAWFUL TO COVER,INSULATE OR CONCEAL ANY WORK BEFORE INSPECTED AND ACCEPTED. POST PERMIT INCONSPICUOUS LOCATION. KEEP PERMIT AND APPROVED PLANS AT JOB SITE. Inspection Type Date Accepted By Comments FOUNDATION: Footings Stemwall Foundation Drainage/Downspouts Piers Post Holes(Pole Bldgs.) PLUMBING: Under Floor/Slab Rough-in Water Line Meter to Bldg) Gas Line Back Flow/Water FINAL Date Accepted b AIR SEAL: Walls Ceiling FRAMING: Joists/Girders/Under Floor Shear Wall/Hold Downs Walls/Roof/Ceiling Drywall Interior Braced Panel Only) T-Bar INSULATION: Slab Wall/Floor/Ceiling MECHANICAL: Heat Pum /Furnace/FAU/Ducts Rough-in Gas Line Wood Stove/Pellet/Chimney Commercial Hood/Ducts FINAL Date Accepted b MANUFACTURED HOMES: Footing/Slab Blocking&Hold Downs Skirting PLANNING DEPT. Separate Permit#s SEPA: Parkin /Lighting ESA: Landscaping SHORELINE: FINAL INSPECTIONS REQUIRED PRIOR TO OCCUPANCY/USE Inspection Type Date Accepted By Electrical 417-4735 Construction-R.W. PW I Engineering 417-4831 Fire 417-4653 Planning 417-4750 Building 417-4815 T:Forms/Building Division/Building Permit THE ��'`�" NGELES For City Use CITY OF 14 Permit# �BP� Cr � $� W A S H 1 N G T O N, U . S. Date Received: � 321 E Sth Street ate Approved Port Angeles,WA 9836 P:360-417-4817 F:360-417-4711 Email:permits@cityofpa.us BUILDING PERMIT APPLICATION Project Address: 0 53a 2il <\ .e 41 Phone: �c t- Primary Contact: C ��i ; .0 Email: z; ; o ��►�. Cvy� Name Phone _ 14-C} Property Mailing Address Email Owner Sv City State Zip Name Phone Contractor Address Email -� Information city _5 State Zip Contractor License# Exp.Date: Legal Description: Zoning: Tax Parcel# Proj Val materials and labor) s M Residential ❑ Commercial ❑ Industrial ❑ Y Public ❑ Permit Demolition ❑ Fire ❑ Repair Reroof(tear off/lay over) ❑ Classification For the following,fill out both pages of permit application: (check New Construction ❑ Exterior Remodel ❑ Addition ❑ Tenant Improvement ❑ appropriate) Mechanical IVOlumbing ❑ Other ❑ Will a fire sprinkler system be installed Irrigation System? Proposed Bathrooms Proposed Bedrooms or modified? Yes ❑ No Yes ❑ No,V Project Description 0)-Ir bye rn 6:1-1U lr e cJv.�l►v /`I �' = rot,w — Ho 4 Lr \ lUC'e Is project in a Flood Zone: Yes ❑ N(02]�Flood Zone Type: If in a Flood Zone, what is the value of the structure before proposed improvement? $ I have read and completed the application and know it to be true and correct. I am authorized to apply for this permit and understand that it is my responsibility to determine what permits are required and to obtain permits prior to work. I understand that plan review fees are not refundable after review has occurred. I understand that I will forfeit review fees if I withdraw the application before the permit is issued. I understand that if the permit is not picked up/issued within 18o days of submittal,the application will be considered abandoned and the fees will be forfeited. Date a - 1 Print Name i I Signature , 4 Residential Structures For Office Use Area D.escription'(SQ FT) Existing Proposed $$value Basement First Floor Second Floor Covered Deck/Porch/Entry Deck(over 30"or a° floor) Garage Carport Other(describe) Area Totals Commercial Structures Proposed For Office Use Area Descriptions(SQ FT) Existing Proposed $$Value Existing Structure(s) Proposed Addition Tenant Improvement? Other work(describe) Site Area Totals Lot/Site Coverage Calculations Lot Size(sq ft) Lot Coverage(sq ft) %Lot Coverage(Total lot coverage_lot size) Site Coverage(Sq Ft of all impervious) %of Site Coverage(total site coverage_lot size) Mechanical Fixtures Indicate how many of each type of fixture to be installed or relocated as part of this project. Air Handler Size: # Haz/Non-Haz Piping Outlets: Appliance Exhaust Fan # Heater(Suspended,Floor,Recessed wall) # Boiler/Compressor Size: # Heating/Cooling appliance # repair/alt ration Evaporative Cooler(attached,not # Pellet Stove/Wood-burning/Gas # portable) Fireplace Gas Stove/Gas Cook Stove/Misc. Fuel Gas Piping #of Outlets: Ventilation Fan,single duct # Furnace/Heat Pump/ Size: # Ventilation System # Forced Air Unit Plumbing Fixtures Indicate how many of each type of fixture to be installed or relocated Plumbing Traps # Fuel gas piping #of Outlets: ater Healer #. Medical gas piping #of Outlets: Water Line # Plumbing Vent piping # Sewer Line # Industrial waste pretreatment interceptor Grease Trap) Size Other(describe): T:\BUILDING\APPLICATION FORMS\Current BP Application\Building Permit 4-17-13.docx